This topic is about dealing with gastrointestinal (GI) issues that can arise after developing a parastomal hernia at an ostomy site. People have shared their experiences and advice on managing symptoms like severe bloating, trapped gas, and alternating constipation and diarrhea. Here are some insights and suggestions from the discussion:

1. **Professional Help**
- It's important to consult with a surgeon, stoma nurse, or a full medical team. They can help determine which part of the bowel is herniating, possibly using imaging like a CT scan.

2. **Symptom Range**
- Some people with parastomal or peristomal hernias don't experience any GI symptoms.
- Others report issues such as blockages, pain, intense bloating or pressure, liquid output with retained solids, and a constant urge to pass stool. The bulging may vary as bowel loops move in and out of the hernia.

3. **Prevention and Contributing Factors**
- Engaging in heavy lifting soon after surgery and having weakened abdominal muscles are common causes of hernia development.
- Wearing a tight support belt might press the wafer edge into the skin around the stoma, causing irritation.

4. **Day-to-Day Management Ideas**
- Keep track of foods that worsen gas or bloating; dairy products are often problematic.
- Modify activities that involve lifting and bending. For example, using tools like a leaf blower or shovel can help avoid frequent bending.

5. **Surgical Considerations**
- One person had a CT scan right after noticing a bulge, which revealed a small intestine herniation.
- Another person mentioned experiencing blockages and pain due to a hernia but hasn't yet shared the outcome of any surgical intervention.

These insights can help those dealing with similar issues to better understand and manage their condition.